Provider Demographics
NPI:1790466050
Name:ADDICTION COUNSELING SERVICES OF COLORADO
Entity Type:Organization
Organization Name:ADDICTION COUNSELING SERVICES OF COLORADO
Other - Org Name:ADDICTION COUNSELING SERVICES OF COLORADO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HORWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:CAS NCACII
Authorized Official - Phone:303-564-1868
Mailing Address - Street 1:1011 S VALENTIA ST UNIT 85
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-6815
Mailing Address - Country:US
Mailing Address - Phone:303-564-1868
Mailing Address - Fax:
Practice Address - Street 1:1011 S VALENTIA ST UNIT 85
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-6815
Practice Address - Country:US
Practice Address - Phone:303-564-1868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1073956348Medicaid
CO1548682412Medicaid
CO1861883720Medicaid
CO1679056477Medicaid
CO1982129540Medicaid
CO1528449279Medicaid